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The Journal of Neuroscience, November 1, 2001, 21(21):8339-8347
Insulin-Like Growth Factor 1 and a Cytosolic Tyrosine Kinase
Activate Chloride Outward Transport during Maturation of Hippocampal
Neurons
Wolfgang
Kelsch1,
Sheriar
Hormuzdi2,
Emine
Straube1,
Andrea
Lewen1,
Hannah
Monyer2, and
Ulrich
Misgeld1
1 Institut für Physiologie und Pathophysiologie
and 2 Institut für Klinische Neurobiologie,
Interdisziplinäres Zentrum für Neurowissenschaften,
Universität Heidelberg, D-69120 Heidelberg, Germany
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ABSTRACT |
The development of hyperpolarizing inhibition is an important step
in the maturation of neuronal networks. Hyperpolarizing inhibition
requires Cl outward transport that is accomplished
by KCC2, a K+/Cl cotransporter.
We show that cultured hippocampal neurons initially contain an inactive
form of the KCC2 protein, which becomes activated during subsequent
maturation of the neurons. We also show that this process is
accelerated by transient stimulation of IGF-1 receptors. Because the
transporter can be rapidly activated by coapplication of IGF-1 and an
Src kinase and can be deactivated by membrane-permeable protein
tyrosine kinase inhibitors, we suggest that activation of
K+/Cl cotransporter function by
endogenous protein tyrosine kinases mediates the developmental switch
of GABAergic responses to hyperpolarizing inhibition.
Key words:
development; furosemide; GABAA; genistein; hippocampus; IGF-1; KCC2; tyrosine kinase
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INTRODUCTION |
In the developing rat hippocampus,
fast GABAergic transmission is depolarizing early in development and
becomes hyperpolarizing and strictly inhibitory only by the end of the
first postnatal week (Cherubini et al., 1991 ). The direction of
Cl currents flowing through
GABAA receptors depends on the transmembranal gradient for Cl currents.
Cl influx requires low levels of
intracellular [Cl ], which is achieved
by extrusion of Cl by a
furosemide-sensitive transporter (Misgeld et al., 1986 ; Thompson et
al., 1988 ; Jarolimek et al., 1999 ; Kakazu et al., 1999 ) whose driving
force is determined by extracellular
[K+] (Payne, 1997 ; Jarolimek et al.,
1999 ). There is considerable evidence suggesting that the recently
cloned neuronal
K+/Cl
cotransporter, KCC2, accomplishes this transport (Payne et al., 1996 ).
A reduction in the expression of KCC2 by antisense nucleotides was
shown to decrease the driving force for hyperpolarizing GABA currents
in hippocampal CA1 neurons (Rivera et al., 1999 ). KCC2 expression
increases in forebrain regions during the first postnatal weeks
(Clayton et al., 1998 ; Lu et al., 1999 ; Rivera et al., 1999 ). At
approximately this time, GABAA and glycine
receptor responses become hyperpolarizing (Ehrlich et al., 1999 ; Kakazu
et al., 1999 ; Rivera et al., 1999 ; DeFazio et al., 2000 ), and giant
depolarizing potentials that are blocked by GABAA
receptor antagonists disappear in the hippocampus (Ben-Ari et al.,
1989 ). That KCC2 is the dominant neuronal
Cl extruding molecule, is important for
synaptic inhibition by GABA or glycine, and is supported by the
abnormalities observed in the developing spinal cord and brainstem of
KCC2 knock-out mice (Hübner et al., 2001 ).
Protein tyrosine kinase (PTK) phosphorylation is considered a key
biochemical event in numerous cellular processes, including proliferation, growth, and differentiation, and has also been implicated in synaptogenesis (Catarsi and Drapeau, 1993 ). Protein tyrosine kinases are subdivided into the cytosolic nonreceptor family
and the transmembrane growth factor receptor family, which includes
receptors for insulin and insulin-like growth factor (IGF-1). The
maturation of postsynaptic inhibition may require both a cytoplasmic
PTK, which increases GABAA receptor-mediated currents (Moss et al., 1995 ), and insulin, which was shown to induce a
rapid translocation of GABAA receptors from
intracellular compartments to the plasma membrane (Wan et al., 1997b ).
KCC2 is also known to have a C-terminal PTK consensus site (Payne, 1997 ). Therefore, the maturation of postsynaptic inhibition may, in
addition to other mechanisms, also involve the effects of PTK and
insulin acting on KCC2.
Previously, we presented an assay that allows one to determine the
direction of KCC2 transport as a function of extracellular K+ concentration (Jarolimek et al., 1999 ).
A major advantage of the assay is that the driving force for the
transporter is set by defined intracellular and extracellular ion
concentrations and that GABAA currents are not
confounded by the influence of HCO3 ions (Kaila et
al., 1993 ). In this study, we used the assay and show that PTK
inhibitors reduce KCC2-mediated transport. Furthermore, we provide
evidence that insulin and IGF-1 in conjunction with a cytosolic PTK,
c-Src, rapidly activate KCC2.
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MATERIALS AND METHODS |
Cell culture. Pregnant Wistar rats were anesthetized
with ether and killed by decapitation. The embryos were removed, placed in sterile, ice-cold Gey's buffered salt solution [containing (in
mM): 137 NaCl, 5 KCl, 0.3 MgSO4, 1 NaH2PO4, 1.5 CaCl2, 2.7 NaHCO3, 0.2 KH2PO4, 1 MgCl2, and 5 glucose, at pH 7.4], and
immediately decapitated. Hippocampal anlage from 14-d-old embryos was
mechanically dissociated and plated on a primary culture of glial cells
from the same area. Cell culture conditions were the same as described previously (Jarolimek and Misgeld, 1992 ). For the incubation
experiments, neurons were raised in medium containing either bovine
insulin (30 µg/ml; Life Technologies, Paisley, UK) or IGF-1 (50 ng/ml; Sigma, Deisenhofen, Germany) from 2-5 or 2-8 d in culture
(DIC), during which the medium was replaced two to three times.
Afterward, half of the medium was exchanged twice per week with medium
lacking insulin or IGF-1. Sister control cultures, raised in the
absence of insulin, were obtained from the same embryos and recorded on the same days. Cultures raised with insulin contained considerably larger cell numbers than their counterparts (data not shown).
Electrophysiological recordings. Recordings were performed
at room temperature (22-25°C) in the whole-cell voltage-clamp
configuration with a patch-clamp amplifier Axopatch 200 B (Axon
Instruments, Foster City, CA). The composition of the extracellular
solution was (in mM): 156 NaCl, 1 CsCl, 2 KCl, 2 CaCl2, 1 MgCl2, 15 glucose, and 10 HEPES, pH 7.3. Composition of the patch pipette solution was (in
mM): 3.5 NaCl, 5 KCl, 130 K-glucuronate, 0.25 CaCl2, 0.5 MgCl2, 10 glucose, 10 HEPES, 5 5-N-(2,6-dimethylphenylcarbamoylmethyl)-triethylammonium bromide (QX314), and 0.1 or 2 Mg-ATP, pH 7.3. For a more detailed description of the assay, see Jarolimek et al. (1999) . Extracellular solutions were applied by a multibarreled perfusion system that was
positioned ~250 µm apart from the soma of the recorded cell. All
experiments were performed with 10 µM
6,7-dinitroquinoxaline-2,3-dione and 1 µM
DL-2-amino-4-methyl-5-phosphono-3-pentenoic acid
in the extracellular solution to block glutamatergic synaptic currents. The remaining currents could be completely blocked by application of 20 µM bicuculline (Jarolimek et al., 1999 ). Drugs
were from Sigma, except lavendustin A (Calbiochem, Schwalbach,
Germany). Insulin or IGF-1 were added to the extracellular solution.
c-Src (recombinant pp60c-Src; Upstate
Biotechnology, from Biomol, Hamburg, Germany) was added to the patch
pipette solution directly before the experiment. For control
experiments, c-Src was heat-inactivated at 60°C for 15 min. For all
experiments with acute application of insulin, IGF-1, and/or c-Src,
patch pipette solution containing 2 mM Mg-ATP was used.
Patch pipettes were fabricated from borosilicate glass (Hilgenberg,
Malsfeld, Germany), and their resistances to bath ranged from 2.5 to
4.5 M . The access resistance was estimated from the amplitude of the
capacitive current evoked by a 5 mV square pulse. Only access
resistances between 10 and 20 M were accepted and routinely checked
during the recording. For a determination of the liquid junction
potential between the patch pipette and the extracellular solution, see
Jarolimek et al. (1999) . All values were corrected by 14 mV.
Recordings were started >5 min after the whole-cell configuration was
established to allow adequate time for QX314 to take effect and for
anions to equilibrate. After 5 min, no additional change in dendritic
or somatic EGABA was observed for the
duration of recording (up to 2 hr). GABA (1 mM; Sigma) was applied by pressure ejection (1-20 kPa; 20-40 msec) every
15 sec from a pipette with a <1 µm opening.
IGABA was measured in the presence of
TTX (0.3 µM; Alomone Labs, Jerusalem, Israel) to avoid superposition of IGABA and
action potential-dependent spontaneous IPSCs (sIPSCs). Currents were
recorded at holding potentials (VH)
near EGABA. After 15-45 sec at a new
VH, the current amplitudes induced by
three consecutive applications were averaged. Despite the rapid
exchange of the extracellular solution (~0.5 sec) around the neuron,
effects of drugs were determined >1 min after start of the
application. During this time, VH was
set to EGABA. For the analysis of
sIPSCs, we first determined the reversal potential, and, from the
reversal potential, VH was changed in small steps to determine the voltage dependence of synaptic currents.
Data analysis. Data were filtered at 1.3 kHz with a
four-pole Bessel filter and were acquired and analyzed with pClamp6
(Axon Instruments) and Igor Pro (WaveMetrics Inc., Eugene, OR). The amplitudes of sIPSCs were analyzed with a program written in our laboratory (Jarolimek and Misgeld, 1997 ). The reversal potential of
IGABA was determined by fitting the
current-voltage plot by a linear regression (r 0.95). Somatic sIPSCs and all sIPSCs recorded in the presence of a
blocker for cation-anion transporters were fitted together only if
r 0.75. The 10 largest inwardly and outwardly
directed sIPSCs, respectively, were averaged for each data point of the
current-voltage relationship. Statistic analysis of data are reported
as mean ± SEM.
Reverse transcription-PCR. To evaluate levels of KCC2 mRNA
in neurons, a semiquantitative reverse transcription (RT)-PCR approach was undertaken in which fragments corresponding to the KCC2 and the
internal standard, neurofilament light chain (NFL) (Moshnyakov et al.,
1996 ), transcripts were coamplified. The specificity of the reaction
conditions was determined by amplifying the cDNA with either the KCC2
or NFL primer pair (see below) individually and then sequencing the
reaction products. Fragments corresponding to the KCC2 and NFL
transcripts so amplified were purified and 32P-dCTP labeled to generate specific
probes for the Southern blot analysis (see below). Conditions for the
cDNA synthesis and PCR (given below) were chosen such that the reaction
products were hardly visible after 20 amplification cycles but were
abundant after 30 cycles (see Fig. 6C1). Because the
reaction products were well within the exponential phase of the PCR,
all quantitations were done on reaction products amplified for only 20 cycles. Reaction products were electrophoresed on a 2% agarose gel,
subjected to Southern blot analysis, and quantified with a bio-imaging
analyzer (FUJIX BAS1000; Fujifilm, Tokyo, Japan). To maximize accuracy, the same blots were stripped and then probed individually with either
KCC2- or NFL-labeled fragments (see Fig. 6C2). After
correcting for the amount of NFL amplified, the relative levels of KCC2
expressed by neurons after treatment with insulin to sister controls
was determined for three independent experiments and expressed as a
ratio (see Fig. 6D). For each cDNA, the
amplifications, Southern blots, and quantitations were repeated four times.
cDNA reactions were conducted on RNA prepared from sister control and
insulin-treated cultures, using Moloney murine leukemia virus reverse
transcriptase and random hexanucleotide primers, and had a final volume
of 30 µl. For PCR reactions, 0.5 µl of the cDNA reaction was used
along with 0.5 µM of each of the four primers (given
below), 0.25 mM of each dNTP, 10 µl of 10× buffer, 0.5 µl of Taq polymerase, and 1 mM
MgCl2. The following primers were used:
5'-GCAGCCCCTTCA-TCAACAGCAC-3' and 5'-CATCGCTGGGAAGAGGTAAGC-3', which amplified a 559 bp fragment of the KCC2 transcript, and 5'-TGCACGAGGAAGAGATCGCCGAGCT-3' and 5'-CTGTAAGCT-GCAATCTCAATGT-3', which amplified a 495 bp fragment of the NFL transcript.
Immunocytochemistry. The abundance of KCC2 protein in
neurons treated with insulin and in untreated controls was visualized with an antibody whose specificity and utility has been described previously (Williams et al., 1999 ). Neurons cultured on coverslips were
fixed for 10 min at room temperature with 4% paraformaldehyde prepared
in PBS. After brief washes with PBS, they were permeabilized by
incubation for 5 min at room temperature in a 0.2% Triton X-100 (Tr)-PBS solution, rinsed again with PBS, and then incubated in a
solution containing 0.2% Tr and 4% goat serum (GS)-PBS for 30 min at
room temperature. The coverslips were incubated in the primary antibody
(1:200 dilution; 0.1% Tr and 2% GS-PBS) overnight at 4°C. After
rinses in 1% GS-PBS, the FITC-conjugated anti-rabbit secondary
antibody was added (1:200 dilution; Jackson ImmunoResearch, West Grove,
PA), and the coverslips were incubated for 2 hr at room temperature.
The coverslips were then rinsed, mounted on slides, visualized, and
photographed with an Axio Plan 2 microscope (Zeiss, Oberkochen, Germany).
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RESULTS |
KCC2 activity distinguishes between two types of neurons
Whole-cell recordings from embryonic (E14) hippocampal neurons
27-31 DIC were performed under conditions of 15 mM (10 mM Cl and 5 mM
Br ) (cf. Jarolimek et al., 1999 )
permeant anions in the patch pipette and 2 mM
K+ in the extracellular solution
([K+]extra).
Only cells with membrane potentials more negative than 55 mV were
included in the analysis. We applied GABA (1 mM) focally to
either the soma or a dendrite of a single cell. The distance between
the somatic and dendritic applications was at least 100 µm. Responses
to GABA applications allowed us to discriminate two types of cells,
which we termed type 1 and type 2. In type 1 neurons, the reversal
potential (EGABA) for dendritic
currents was more negative than EGABA
for currents induced by somatic applications ( 81.3 ± 2.9 and
59.5 ± 1.6 mV, respectively; p 0.001;
n = 4). Furosemide (100 µM)
changed the driving force of the currents induced by focal dendritic
applications (Fig.
1A1). Plots of current amplitudes versus holding potential
(VH) revealed a positive shift of
dendritic EGABA in the presence of
furosemide (Fig. 1A2). In the same cells, currents
induced by focal somatic applications were not altered (Fig.
1A1). In type 2 neurons (Fig. 1B),
on the other hand, there was no difference between
EGABA obtained with either dendritic
or somatic applications ( 57 ± 0 and 56 ± 1.3 mV,
respectively; n = 4), and furosemide had no effect on
EGABA for dendritic currents.

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Figure 1.
Somatodendritic gradient for
EGABA in type 1 but not type 2 neurons.
A, Focal application of GABA (1 mM) to a
type 1 neuron. A1, Furosemide (100 µM)
reversed the direction of GABA currents at the dendrite but not at the
soma of the same cell. Below the traces, the driving force
(VH-EGABA)
is indicated. Somatic EGABA was 64 mV, and
dendritic EGABA was 78 mV.
con, Control; furo, furosemide;
wash, washout. A2, Plots of GABA current
amplitudes versus VH revealed a positive
shift of dendritic EGABA in furosemide (100 µM; ) compared with control ( ) and washout ( ).
B, Focal application of GABA (1 mM) to a
type 2 neuron. There was no difference between
EGABA in the dendrite ( ) and in the soma
( ) of the same cell. Furosemide (100 µM; ) did not
alter EGABA of dendritic currents. Control,
; washout, .
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Pharmacological blockade of ionotropic glutamate receptors allowed us
to measure sIPSCs mediated by GABAA receptors.
Cells exhibiting little spontaneous synaptic activity were not
considered in this study. In half of the hippocampal neurons (type 1),
the simultaneous occurrence of inward and outward sIPSCs (Fig.
2A1) prevented the
determination of a single reversal potential
(Erev). The other half (type 2) was
characterized by sIPSCs that were either outward or inward depending on
the respective VH (Fig. 2B1). Only in type 1 neurons was it possible to alter
the driving force for sIPSCs with the cation-anion transport blocker
furosemide.

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Figure 2.
Comparison of furosemide effects on spontaneous
IPSCs in type 1 and type 2 neurons. A1, Simultaneous
outward and inward sIPSCs characterize type 1 neurons. Application of
furosemide (100 µM) reversed the direction of sIPSCs.
A2, In the same neuron, dendritic and somatic sIPSCs
could be fitted separately by linear regression lines ( ). In
furosemide (100 µM), all sIPSCs could be fitted with the
somatic regression line ( ). B1, B2, Type 2 neuron.
Measurement of sIPSCs at varying VH allowed
to determine a reversal potential by linear regression
(r > 0.95; ), and furosemide (100 µM; ) had no effect. Con, Control;
furo, furosemide.
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Figure 2A1 shows a type 1 hippocampal neuron.
Application of furosemide (100 µM) reversed the
direction of synaptic currents in <1 min. This effect was reversible
during washout of furosemide. When amplitudes of the sIPSCs of this
neuron were measured at varying VH
( 69 to 85 mV), the data points could be fitted by two linear
regression lines (Fig. 2A2), and two different
reversal potentials could be extrapolated. According to results
obtained with focal GABA applications, data points yielding the more
negative reversal potential are from dendritic sIPSCs. The other line
connected values for somatic sIPSCs. Data points obtained in the
presence of the transport blocker furosemide could be fitted with the
somatic currents (Fig. 2A2). In contrast, for a type
2 neuron (Fig. 2B), measurement of sIPSC amplitudes
at varying VH allowed determination of
a single reversal potential. In this cell, furosemide had no effect.
According to the data reported above, in type 1 neurons, dendritic
sIPSCs can be discriminated from somatic sIPSCs by their respective
driving forces. Driving forces for dendritic sIPSCs approached those of
somatic sIPSCs during blockade of Cl
transport by furosemide. Bumetanide mimicked the effects of furosemide (Fig. 3A) but was somewhat
less effective than furosemide. At high concentration (100 µM), bumetanide as well as furosemide reversed
the direction of sIPSCs (n = 3) (Fig. 3A).
At low concentration, bumetanide (25 µM) had no
effect on spontaneous synaptic currents, whereas application of 25 µM furosemide to the same type 1 neuron increased the amplitude of inward sIPSCs and decreased those of outward
sIPSCs (n = 4). The stilbene derivative
4,4'-diisothiocyanatostilbene-2,2'-disulfonic acid (DIDS) was more
effective than furosemide, but recovery was not always complete (Fig.
3B,C). These pharmacological
characteristics match those of KCC2 expressed in human embryonic kidney
cells (Payne, 1997 ).

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Figure 3.
Pharmacological blockade of
Cl outward transport in type 1 neurons.
A, Bumetanide (100 µM) and furosemide (100 µM) comparably reversed the direction of sIPSCs in the
same neuron. B, Another blocker, DIDS, mimicked the
effect of furosemide in a concentration-dependent manner, although, at
high concentrations, the drug is known to block Cl
channels as well as Cl transport.
C, Plots of amplitudes of sIPSCs versus
VH show that, in 100 µM DIDS,
all values for sIPSCs could be fitted together with the values for
somatic sIPSCs in control. bume, Bumetanide;
con, control; furo, furosemide;
wash, washout.
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The data indicated that a Cl gradient
exists between soma and dendrites of type 1 neurons, because
Cl transport exceeds the
Cl load provided by the patch pipette
solution in the dendrites of the neurons (Jarolimek et al., 1999 ). In
contrast, type 2 neurons possess a uniform distribution of
intracellular [Cl ], because they lack
net outward Cl transport activity. These
findings are summarized in Figure 4. In
type 1 neurons (Fig. 4A1),
EGABA for dendritic GABA currents shifted to positive values in furosemide
( Vrev) (Fig.
4A2). For the quantification of furosemide effects on
sIPSCs, we measured VH at which the
first outward sIPSCs with amplitudes twice the noise appeared.
Furosemide induced a significant positive shift in this value (Fig.
4A3). In type 2 neurons, in which dendritic and
somatic EGABA were the same (Fig.
4B1), furosemide had no effect on dendritic
EGABA (Fig. 4B2).
VH at which the first outward sIPSCs
appeared was also not changed (Fig. 4B3). In
conclusion, a furosemide-sensitive KCC generates the somatodendritic
[Cl ] gradient in type 1 neurons,
whereas in type 2 neurons KCC activity is absent.

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Figure 4.
Somatic and dendritic [Cl ]
in type 1 and type 2 neurons. A1, Schematic drawing of a
type 1 neuron. Net Cl outward transport lowers
intracellular [Cl ] in dendritic regions compared
with the soma, which is loaded with [Cl ] by the
patch pipette solution. A2,
EGABA was determined for currents induced by
focal application of GABA (1 µM) to the dendrite of type
1 neurons; furosemide (100 µM) reversibly shifted
EGABA to more positive potentials
(p 0.001). A3, Furosemide
(100 µM) induced shifts in the
VH to more positive potentials
(p 0.01) at which the first sIPSCs with
amplitudes twice the noise appeared. B1 displays a type
2 neuron with an even [Cl ] in the dendrites and
in the soma. B2 displays focal applications of GABA (1 mM) to dendrites of type 2 neurons. No shift in
EGABA occurred when furosemide (100 µM) was applied. B3, Same as
A3 for type 2 neurons, but there was no effect of
furosemide (100 µM). con, Control;
furo, furosemide; wash, washout.
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Outward transport of chloride requires tyrosine
kinase activity
Neuron-specific KCC2 differs from the widely expressed KCC1 in a
PTK consensus site (Payne, 1997 ). Hence, we tested the effect of PTK
inhibitors on Cl outward transport in
type 1 neurons. Perfusion of lavendustin A (10 µM), a
membrane-permeable inhibitor of PTK (O'Dell et al., 1991 ), like
furosemide, resulted in an increase of inward and a decrease of outward
sIPSCs that was fully reversible only after a single application (Fig.
5A). This treatment also
resulted in a decrease in the frequency of sIPSCs. To quantify the
effect of lavendustin A (11 applications to five cells), we determined the amplitude ratio of outward to inward sIPSCs, which was strongly reduced during the application (0.51 ± 0.07; p 0.001) (Fig. 5B). Control experiments were performed using
type 2 neurons because these cells have no KCC2-mediated transporter
activity. Lavendustin A was applied at different
VH, and the resultant sIPSCs were
measured (17 applications to seven type 2 neurons). Under these
conditions, the frequency and amplitudes of inward (0.58 ± 0.12)
and outward sIPSCs (0.6 ± 0.08) normalized to control were
reduced (Fig. 5C), but their ratio did not change.

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Figure 5.
Reduction of Cl outward
transport by inhibitors of PTK. A, In a type 1 neuron,
lavendustin A (10 µM) had an effect on sIPSCs comparable
with furosemide. B, The ratio of outward to inward
sIPSCs normalized to control was significantly reduced during
application of lavendustin A (10 µM; p 0.001) or genistein (50 µM for 30 sec; p 0.001) but not by daidzein (50 µM for 30 sec), the inactive analog of genistein. C, In type 2 neurons, inward currents and outward currents normalized to control at
the respective VH were reduced, but
the ratio did not change. D1, Currents induced by focal
applications of GABA (1 mM) to a dendrite
decreased or reversed in direction, respectively, when genistein (50 µM) or furosemide (100 µM) were applied to a type 1 neuron
(VH of 75 mV). At
EGABA
(VH of 85 mV), there was an increase
in inward currents in genistein and furosemide. D2, The
current-voltage relationship for the neuron shown in D1
revealed a positive shift in EGABA
( Vrev) in genistein ( ) and
furosemide ( ). Control, ; washout, . E, Correlation
of Vrev induced by genistein (50 µM) and furosemide (100 µM) in 12 neurons was highly significant
(r = 0.98). con, Control; daidz,
daidzein; furo, furosemide; genist, genistein;
lav A, lavendustin A; wash, washout.
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Another membrane-permeable inhibitor of PTK, genistein (50 µM) (Akiyama et al., 1987 ), produced a reversible
decrease (13 applications to nine cells) in the amplitude ratio of
outward to inward sIPSCs (0.25 ± 0.06; p 0.001) in type 1 neurons (Fig. 5B). In contrast, daidzein
(50 µM), the inactive analog of genistein (Akiyama et al., 1987 ), when applied to neurons that responded to
genistein (six applications to four cells), had no effect on the ratio
of outward to inward currents (1.2 ± 0.14) (Fig. 5B). In type 2 neurons (18 applications to three cells), genistein did not
reduce the mean amplitude of either outward (0.99 ± 0.08) or
inward (0.84 ± 0.13) sIPSCs (Fig. 5C).
To circumvent effects of PTK inhibitors on spontaneous activity, we
applied GABA focally to dendrites of type 1 neurons and measured
Vrev for GABA currents. Genistein
shifted EGABA to positive values
( Vrev was +7.5 ± 1.1 mV;
n = 10) and caused a new steady state, which was
reached within 3 min after application and was reversible in most
instances. Genistein, however, had no effect on
EGABA if GABA was applied to the soma
of cells (n = 3) because somatic
[Cl ]intra is
determined by the Cl load through the
patch pipette. We next compared
Vrev induced by genistein or
furosemide if they were applied to the same type 1 or type 2 cell
(n = 12). As shown in Figure 5, D1 and
D2, a given cell responded with almost the same
Vrev to either genistein or
furosemide. The correlation of Vrev
induced by genistein or furosemide was highly significant
(r = 0.98), strongly suggesting that both drugs acted
by blocking the same pathway (Fig. 5E). Furthermore, the
slope of the curve revealed that the genistein effect amounted to 80%
of the furosemide effect.
Neuronal chloride channels, ClC-3 and ClC-2, are known to be activated
or blocked by activators of protein kinase A and protein kinase C,
respectively (Smith et al., 1995 ). Therefore, we applied forskolin, an
activator of adenylylcyclase, (20 µM; n = 5), and phorbol-12-mystirate-13-acetate, an activator of protein kinase C (1 µM; n = 3), to the bath
solution. None of them had an effect on the
Cl gradient and furosemide sensitivity
(data not shown), although spontaneous synaptic activity increased as
described previously (Capogna et al., 1995 ).
Developmental activation of outward chloride transport
We determined the developmental onset of type 1 neurons in
cultures derived from hippocampus. There were time points when either
type 1 or type 2 neurons predominated and a transitory period wherein
both types existed. Type 1 neurons were the predominant cell type only
after 35-44 DIC (26 of 29 cells), whereas type 2 predominated up to 23 DIC (18 of 19 cells). The time of appearance of type 1 neurons could be
shortened by incubation with a growth factor that activates PTK. In
hippocampal cultures raised in insulin (30 µg/ml), type 1 neurons
predominated as early as 21-24 DIC (17 of 18 cells). In contrast, very
few type 1 neurons (1 of 12 cells) were found in sister cultures raised
without insulin (Fig. 6A). The same results
were obtained with physiological concentrations of IGF-1 (50 ng/ml).

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Figure 6.
Abundance of type 1 neurons, but not expression of
KCC2 mRNA and protein, is enhanced by insulin. A, The
relative number of type 1 neurons (black bars) is
increased when hippocampal cell cultures are incubated in insulin,
whereas type 2 neurons (white bars) predominate in
untreated cultures. B, KCC2 protein is abundant in all
neurons, regardless of insulin pretreatment. C1, An
ethidium bromide-stained agarose gel demonstrating the relative
abundance of the coamplified KCC2 and NFL fragments after 10, 20, 30, or 40 (lanes 2-5, respectively; the 636, 517, and 396 bp DNA size markers are visible in lanes 1 and
6) amplification cycles. C2, A
representative Southern blot result illustrating the relative abundance
of the KCC2 and NFL DNA fragments in insulin-treated and untreated
samples. D, The relative abundance of KCC2 expression in
insulin-treated samples expressed as a ratio of the amount of KCC2
amplified in insulin-treated samples to the amount in untreated
samples. The results from three separate experiments
(n = 4) indicate that the ratio did not deviate
significantly from 1.0, suggesting that KCC2 expression was unaltered
by insulin treatment.
|
|
To determine whether the difference in
Cl transport between the two groups of
neurons was attributable to differential expression of KCC2, we
amplified KCC2 transcript by single-cell RT-PCR from individual type 1 and type 2 neurons. Single-cell RT-PCR revealed no difference because
15 of 18 type 1 neurons and 10 of 15 type 2 neurons contained KCC2 mRNA
(data not shown). To quantify the relative expression of KCC2
transcript in type 1 and type 2 neurons, we determined the abundance of
KCC2 mRNA in 21-24 DIC cultures treated with insulin and in sister
control cultures. Semiquantitative RT-PCR, wherein KCC2 mRNA was
amplified and normalized to the expression of NFL, indicated that both
cultures expressed comparable amounts of KCC2 (Fig.
6D). In addition, immunocytochemical visualization of
KCC2 protein revealed that it was abundant in both types of cultures
(Fig. 6B). Thus, we concluded that the onset of
transporter activity cannot be correlated with the amount of mRNA or
with the mere presence of KCC2 protein.
The data presented above suggested that neurons with passive
ECl as well as neurons with
functional transport contained KCC2 protein. Furthermore, PTK appeared
to play a major role in regulating the transport. To test whether PTK
could activate the transport, we applied insulin (30 µg/ml) in the
bath for at least 30 min. This had no effect on its own
(n = 3). However, if the application of insulin (30 µg/ml; n = 7) or IGF-1 (50-100 ng/ml;
n = 3) was combined with the perfusion (15 min before
application of insulin or IGF-1) of a cytoplasmic PTK (c-Src, 60 U/ml)
via the recording pipette, type 2 cells could acquire type 1 activity within 5 min (Fig. 7). The change
manifested itself in the appearance of inward and outward sIPSCs at a
holding potential, at which the cell had shown previously inward
currents only (Fig. 7B). The application of c-Src alone (30 or 60 U/ml for 30 min) was not effective (n = 6).
Furthermore, whereas the cells recorded with c-Src did not respond to
furosemide, furosemide induced a shift in the driving force for sIPSCs
in the same cells after insulin or IGF-1 application (n = 9) (Fig. 7B). To confirm that active tyrosine kinase was
required for the change from type 2 to type 1 characteristics, we used
heat-inactivated c-Src, which was unable to support the insulin effect
(n = 3).

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|
Figure 7.
Instantaneous transformation of a type 2 into a
type 1 neuron. A, Only inward sIPSCs occurred at the
indicated VH during recording with c-Src (60 U/ml) in the patch pipette solution. After 10 min of insulin
application (30 µg/ml), simultaneous outward and inward currents were
recorded at the same VH. B,
In this neuron, sIPSCs were fitted by a single linear current-voltage
relationship. During insulin application, sIPSCs appeared that had to
be fitted by a separate line. The change reversed during application of
furosemide (100 µM), which had been ineffective before
insulin application (data not shown). con, Control;
furo, furosemide; wash, washout.
|
|
 |
DISCUSSION |
KCC2-mediated outward transport of chloride
In a previous study (Jarolimek et al., 1999 ), we demonstrated that
a furosemide-sensitive
K+/Cl
cotransporter generates a pronounced somatodendritic
[Cl ] gradient in cultured midbrain
neurons provided that appropriate intracellular and extracellular
K+ and Cl
concentrations are chosen. The somatodendritic gradient is built up by
[Cl ] in the patch pipette solution,
which serves as a Cl source, and the
K+/Cl
cotransporter, which counteracts that Cl
load. This gradient makes it possible to study
Cl regulation through
K+/Cl
cotransport in neurons by measuring differences between somatic and
dendritic EGABA. Using this assay, we
could identify two groups of neurons in hippocampal cultures on the
basis of the respective GABAA receptor-mediated
synaptic currents generated by the input of spontaneously discharging
inhibitory neurons. One group (type 1) comprised mature neurons in
which dendritic and somatic sIPSCs could be discriminated by their
different driving forces. Immature neurons constituted the second group
(type 2) and revealed no difference between dendritic and somatic
sIPSCs. Furosemide sensitivity of
EGABA and a difference in somatic and
dendritic EGABA were found only in
type 1 neurons. Based on the rank order of potencies of the blockers
for KCC2 (Payne, 1997 ), we conclude that the somatodendritic Cl gradient is established by KCC2.
Keeping with this notion, our previous study (Jarolimek et al., 1999 )
showed that the direction of transport is sensitive to small changes of
[K+]extra, as
predicted by the thermodynamic properties of an electroneutral K+/Cl
cotransport. As expected, there was no interference with voltage-gated Cl channels because their influence on
the described Cl homeostasis was very
small and could be identified only after a complete blockade of
Cl transport (Smith et al., 1995 ).
KCC2 function requires tyrosine kinase activity
KCC2 is a member of the family of cation-anion cotransporters
that regulate cell volume and are essential for salt and water transport across epithelia. To become activated, they are either phosphorylated or dephosphorylated. Abnormalities of erythrocyte K+/Cl
cotransport in
fgr / /hck /
double-mutant mouse demonstrate that Src family kinases are involved in
the regulation of membrane transport. In this case, the kinases are
likely to negatively regulate a cotransporter-activating phosphatase (De Franceschi et al., 1997 ). Another member of this family, NKCC1, is
regulated by protein kinases A and C, as has been shown for secretory
epithelia (for a review of the literature, see Russel, 2000 ).
Neuron-specific KCC2, in contrast to the ubiquitously expressed KCC1,
has a tyrosine kinase consensus site (Payne, 1997 ). Recently, the
inhibitory effect of phosphatase inhibitors demonstrated that serine-threonin phosphorylation events regulate KCC2 activity in
oocytes (Strange et al., 2000 ). Thus, there are many reasons to believe
that phosphorylation could be important in regulating KCC2 activity.
Genistein and lavendustin A, both membrane-permeable PTK inhibitors,
had a furosemide-like effect on the somatodendritic
Cl gradient in mature neurons. The
comparable strength of furosemide and genistein indicated that most of
the developmental increase in the number of cultured neurons with KCC2
activity was attributable to phosphorylation. In a recent study
conducted in Xenopus laevis oocytes,
site-directed mutagenesis of exogenously expressed KCC2 (Strange et
al., 2000 ) suggested that the predicted C-terminal tyrosine kinase
consensus site of KCC2 (Payne, 1997 ) may not be phosphorylated.
However, we believe that factors required in neurons for activation of
KCC2 are not present in that artificial expression system because
concentrations of genistein twice as high as those used in our study
had no effect in the oocytes. A synergistic regulation of the efficacy
of inhibitory synapses is suggested by the fact that tyrosine
phosphorylation also increases amplitudes of
GABAA currents (Moss et al., 1995 ; Wan et al.,
1997a ). Thus, the phosphorylation step leading to activation of KCC2
may be part of the overall maturation of GABAergic synapses.
Development of KCC2-mediated outward transport of chloride
We noted an increasing number of cells with transport activity
when recording from mature cultures. Maturation of neurons, as
determined by the relative amount of type 1 neurons, could be
accelerated if cultures were transiently incubated in insulin or in
physiological concentrations of IGF-1, suggesting that the effect was
mediated by the IGF-1 receptor. Insulin is known to be synthesized by
hippocampal neurons (Bartlett et al., 1991 ) and can be released in a
calcium-dependent manner during depolarization (Clarke et al., 1986 ;
Wei et al., 1990 ). GABAergic stimulation of immature neurons in
hippocampal culture leads to a Ca2+
influx, but it reduces the levels of intracellular
Ca2+ in mature neurons (Berninger et al.,
1995 ).
Responses to GABA with an elevation of
[Ca2+]i have been
correlated with KCC2 expression in developing hippocampal cultures. A
nonlinear relationship between the mRNA of KCC2 and its functional effects was observed. Ca2+ influx during
GABA application persisted at a time at which expression of mRNA for
KCC2 increased. The transformation of GABA responses could be
attributed to a reduced rate of Cl
uptake as a result of decreasing NKCC1 activity, as well as to increasing KCC2 activity (Ganguly et al., 2001 ). Other factors to
consider when monitoring Ca2+ influx are
developmental changes in the kinetics of
Ca2+ current activation attributable to a
reduced expression of L-type channels (Pravettoni et al., 2000 ) and
increases in resting membrane potentials. Because KCC2 protein was
abundant and because comparable amounts of mRNA for KCC2 were present
both in insulin-treated and untreated cultures, we concluded that the
presence of KCC2 protein alone is not sufficient to induce transport
activity. Assuming that tyrosine kinase phosphorylation provides the
key to activate KCC2, we applied insulin or IGF-1 in conjunction with intracellular perfusion of c-Src protein and found that the transport was rapidly activated. Perfusion with c-Src alone was not sufficient for activation of the transport, excluding the possibility that c-Src
mediated the entire response to IGF-1. Our data, however, do not
provide direct evidence for upregulation of tyrosine kinase during
chronic insulin exposure. Also, an upregulation of other KCCs, which
may contribute to net Cl outward
transport, was not excluded.
IGF-1 is known to rapidly activate calcium channels by phosphorylation
of a subunit via a cytosolic PTK (Bence-Hanulec et al., 2000 ). An
alternative mechanism can be inferred from studies demonstrating that
insulin-induced potentiation of NMDA receptor activity does not result
from direct phosphorylation of the receptor but from phosphorylation of
associated C-terminal tails of anchoring or signaling proteins
(Skeberdis et al., 2001 ). Insulin is also known to potentiate
GABAA receptor currents by recruitment of functional GABAA receptors to postsynaptic CA1
synapses (Wan et al., 1997b ). However, because high concentrations of
insulin were necessary to potentiate the GABAA
receptor in that study, it is likely that the effect was mediated via
interaction with the IGF-1 receptor that is expressed at high levels in
the developing and adult hippocampus (Kar et al., 1993 ). Interestingly
v-Src kinase has been shown to phosphorylate and activate IGF-1
receptors (Peterson et al., 1996 ). Therefore, endogenous c-Src, once
activated, might act via both direct and indirect mechanisms, creating
a positive feedback cycle to drive the phosphorylation mechanism
mediating KCC2 activity to higher levels.
In conclusion, the rapid activation of KCC2-mediated transport by
IGF-1-insulin and c-Src in cultured neurons indicates that development
of neuronal
K+/Cl
cotransport requires cooperation of a growth factor with PTK-dependent phosphorylation. In this regard, KCC2 is similar to ionotropic receptors and other ion channels whose function is also regulated by
PTK-dependent phosphorylation. Transcriptional mechanisms, although
known to regulate KCC2 levels in the brain, are not sufficient for the
induction of KCC2 activity, at least in cultured neurons. Our studies
show that tyrosine phosphorylation is important for rapidly regulating
a transport in neurons, which determines the efficacy of postsynaptic
inhibition. What may the role of phosphorylation of KCC2 throughout
postnatal life be? The very fast and almost complete effect of PTK
inhibitors suggested a high turnover rate of phosphorylation and
dephosphorylation. In concert with the regulation of
GABAA receptors by Src family kinases, fast
regulation of KCC2 activity and, hence, postsynaptic inhibition may be
important for synaptic plasticity and network excitability.
Furthermore, protein tyrosine phosphorylation has been implicated in
modifications of neuronal function in pathological conditions such as
epilepsy (Sanna et al., 2000 ). A reduction of KCC2-mediated transport
by furosemide promotes epileptiform activity in neuronal networks (Jarolimek et al., 1996 ), whereas activation of the transport might
counteract an excessive enhancement of NMDA receptor-dependent excitatory transmission induced by c-Src (Yu and Salter, 1999 ). Given
the prominent role of synaptic inhibition in mediating many brain
functions and dysfunctions, modulation of KCC2 activity by PTKs may be
important in a wide range of physiological and pathological processes
in the CNS.
 |
FOOTNOTES |
Received June 20, 2001; revised Aug. 8, 2001; accepted Aug. 14, 2001.
The study was supported by Deutsche Forschungsgemeinschaft Grant
MI255/4-1 (U.M.), Sonderforschungsbereich 488 (H.M.), and the Schilling
Foundation (H.M.). The excellent technical assistance of Ulla Amtmann
is gratefully acknowledged. We are particularly grateful to Dr. J. A. Payne for the gift of antibody and Dr. K. Kaila for helpful discussions.
Correspondence should be addressed to Dr. Ulrich Misgeld, Institut
für Physiologie und Pathophysiologie, Universität
Heidelberg, Im Neuenheimer Feld 326, D-69120 Heidelberg, Germany.
E-mail: ulrich.misgeld{at}pio1.uni-heidelberg.de.
 |
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X. Jin, J. R. Huguenard, and D. A. Prince
Impaired Cl- Extrusion in Layer V Pyramidal Neurons of Chronically Injured Epileptogenic Neocortex
J Neurophysiol,
April 1, 2005;
93(4):
2117 - 2126.
[Abstract]
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D. M. Cohen
SRC family kinases in cell volume regulation
Am J Physiol Cell Physiol,
March 1, 2005;
288(3):
C483 - C493.
[Abstract]
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C. Rivera, J. Voipio, and K. Kaila
Two developmental switches in GABAergic signalling: the K+-Cl- cotransporter KCC2 and carbonic anhydrase CAVII
J. Physiol.,
January 1, 2005;
562(1):
27 - 36.
[Abstract]
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J. Yamada, A. Okabe, H. Toyoda, W. Kilb, H. J. Luhmann, and A. Fukuda
Cl- uptake promoting depolarizing GABA actions in immature rat neocortical neurones is mediated by NKCC1
J. Physiol.,
June 15, 2004;
557(3):
829 - 841.
[Abstract]
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K. E. Gavrikov, A. V. Dmitriev, K. T. Keyser, and S. C. Mangel
Cation-chloride cotransporters mediate neural computation in the retina
PNAS,
December 23, 2003;
100(26):
16047 - 16052.
[Abstract]
[Full Text]
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X. Liu, S. Titz, A. Lewen, and U. Misgeld
KCC2 Mediates NH4+ Uptake in Cultured Rat Brain Neurons
J Neurophysiol,
October 1, 2003;
90(4):
2785 - 2790.
[Abstract]
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R. A. Wardle and M.-m. Poo
Brain-Derived Neurotrophic Factor Modulation of GABAergic Synapses by Postsynaptic Regulation of Chloride Transport
J. Neurosci.,
September 24, 2003;
23(25):
8722 - 8732.
[Abstract]
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C. Vale, J. Schoorlemmer, and D. H. Sanes
Deafness Disrupts Chloride Transporter Function and Inhibitory Synaptic Transmission
J. Neurosci.,
August 20, 2003;
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7516 - 7524.
[Abstract]
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S. Titz, M. Hans, W. Kelsch, A. Lewen, D. Swandulla, and U. Misgeld
Hyperpolarizing Inhibition Develops without Trophic support by GABA in Cultured Rat Midbrain Neurons
J. Physiol.,
August 1, 2003;
550(3):
719 - 730.
[Abstract]
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A. Nunez, E. Carro, and I. Torres-Aleman
Insulin-Like Growth Factor I Modifies Electrophysiological Properties of Rat Brain Stem Neurons
J Neurophysiol,
June 1, 2003;
89(6):
3008 - 3017.
[Abstract]
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V. Balakrishnan, M. Becker, S. Lohrke, H. G. Nothwang, E. Guresir, and E. Friauf
Expression and Function of Chloride Transporters during Development of Inhibitory Neurotransmission in the Auditory Brainstem
J. Neurosci.,
May 15, 2003;
23(10):
4134 - 4145.
[Abstract]
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S. S. Daftary and A. C. Gore
Developmental Changes in Hypothalamic Insulin-Like Growth Factor-1: Relationship to Gonadotropin-Releasing Hormone Neurons
Endocrinology,
May 1, 2003;
144(5):
2034 - 2045.
[Abstract]
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C. Rivera, H. Li, J. Thomas-Crusells, H. Lahtinen, T. Viitanen, A. Nanobashvili, Z. Kokaia, M. S. Airaksinen, J. Voipio, K. Kaila, et al.
BDNF-induced TrkB activation down-regulates the K+-Cl- cotransporter KCC2 and impairs neuronal Cl- extrusion
J. Cell Biol.,
December 9, 2002;
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[Abstract]
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T. Ueno, A. Okabe, N. Akaike, A. Fukuda, and J. Nabekura
Diversity of Neuron-specific K+-Cl- Cotransporter Expression and Inhibitory Postsynaptic Potential Depression in Rat Motoneurons
J. Biol. Chem.,
February 8, 2002;
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[Abstract]
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